Résumé
We report a case of paediatric lupus who during her admission developed near fatal central nervous system complication of status eilepticus with respiratory paralysis and was managed with intravenous immunoglobulins, extended course of methyl prednisolone with a favourable outcome.
Sujets)
Maladies du système nerveux central/traitement médicamenteux , Enfant , Femelle , Humains , Immunoglobulines par voie veineuse/usage thérapeutique , Lupus érythémateux disséminé/traitement médicamenteux , Méthylprednisolone/usage thérapeutique , Résultat thérapeutiqueRésumé
In 20 patients with cubitus varus, a clinical test suggested by Yamamoto et al (1985) was carried out to measure the internal rotation. Average internal rotation was found to be 37.5 +/- 9.390. A correction for internal rotation was carried out for all the patients having angle more than 20 degrees. Following osteotomy, post-operative Yamamoto's angle was measured and was found to be 8.85 +/- 6.5. An experiment was carried out on postmortem human humerus with cubitus varus. The internal rotation was measured with Kirschner wires and was found to be 30 degrees. Osteotomy was carried out to eliminate varus and correct internal rotation. Radiographs taken before and after the osteotomy confirmed the correction. We conclude that this derotation has to be corrected and Yamamoto's test should be used to assess the correction.
Sujets)
Adolescent , Phénomènes biomécaniques , Cadavre , Enfant , Femelle , Humains , Humérus , Mâle , Ostéotomie/méthodes , RotationRésumé
A simple and safe technique for removal of retained bile duct calculi using a flexible fibreoptic choledochoscope and rigid nephroscope via the T-tube tract has been described. The technique allowed removal of large impacted calculi under direct vision without damage to the bile duct.